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术中发现医源性胆管损伤:附3例报告 被引量:1

Intraoperative Treatment of Iatrogenic Bile Duct Injury: Report of 3 Cases
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摘要 本文回顾性分析我院2011年1月~2013年11月术中发现3例医源性胆管损伤( bile duct injury ,BDI)的临床资料。3例均术中发现并诊断,术中2例行胆管端端吻合术,1例行修补术。1例术后17个月行胆肠Roux-Y吻合术,2例术后恢复顺利。3例术后分别随访17、18、35个月,均无发热、腹痛、黄疸等症状。我们认为术中认真检查胆囊三角是降低BDI漏诊的关键。 [Summary] Clinical data of 3 cases who suffered from iatrogenic bile duct injury from January 2011 to November 2013 were collected and retrospectively analyzed . Bile duct injuries were found and diagnosed during the processes of laparoscopic cholecystectomy .Two cases were initially treated with end-to-end bile duct anastomosis , while 1 case received repair operation of bile duct surgery .Postoperatively , 1 patient received a bile-intestinal Roux-Y anastomosis after 17 months and 2 patients recovered smoothly.All the 3 cases were followed up for 17, 18, and 35 months, respectively.No postoperative complications , such as fever, abdominal pain , and jaundice , were observed .We deem that examination of the Calot ’ s triangle is the key to prevent the misdiagnosis of bile duct injury during laparoscopic cholecystectomy .
出处 《中国微创外科杂志》 CSCD 北大核心 2015年第6期546-547,550,共3页 Chinese Journal of Minimally Invasive Surgery
关键词 医源性胆管损伤 腹腔镜胆囊切除术 Bile duct injury Laparoscopic cholecystectomy
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